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DischargeDate set
CareProvidernoti�ed Dns’noti�ed
Nursing Transferletter
MedicalDischargeletterTransportarranged
DischargeTo where? &when
Patient placed on delayed discharge list if date exceeded
DISCHARGE
PharmacyDischargeletter
Clatt 31miles
Lerwick 224miles
Kirkwall 130miles
Elgin 65miles
Lost 51miles
Solutions
The podium
Future - towards 2014
Starting blocks
Hurdles
Prior achievements
TEAM NHSG 2012Improving Neurological Health Services in Grampian
“Action on Neurology” Project
Development of multi-disciplinary teams with clinical specialists
Headache service
Urgent referral and on call service
On your marks – TEAM (Together Everyone Achieves More) Core, extended and support
Get set – The judging panel Us - self evaluation, patients and public, sta�
Go – Improvement Action Plan 3 yr Neurological Services Plan
Ease of access/equity of service
Fragmented patient pathways
Mismatch between demand and capacity
Accessible patient information
Insu�cient patient involvement
Lack of self management opportunities
Telehealth clinic
Immediate discharge letters
Out patient waiting times
Patient databases – Epilepsy, Parkinsons Disease and Multiple Sclerosis for purpose of medical alerts
Digital dictation
Clinical guidance intranet
Team NHS Grampian will have –
Developed and integrated patient pathways
Implemented national initiatives and local solutions to neuropsychology and neuropsychiatry services
Worked with obligate health boards to support and develop any generic neurology nurse role that is introduced
Supported and worked closely with Neurological Voices Programme
Improved facilities for out patients and inpatients
Continued to analyse service and implement redesign initiatives
Closed audit loop, repeat feedback and acted on �ndings
Neuropsychology and neuropsychiatry services
Neuro website
Service Needs Analysis; review numbers of specialist nurses
Patient pathways – integration with related services, condition speci�c, and links to obligate health boards, action plan - identi�cation of quick wins and longer term goals
Training of health professionals; epilepsy, headache, Parkinsons Disease, motor neurone disease, Multiple Sclerosis
Supporting Neurological Voices ProgrammeSupporting self management options
Neuropsychology and neuropsychiatry services,
neuro website, digital dictation
Patient pathways and integration with related
services, electronic medical alerts to improve in patient care, specialist nurse numbers, clinical
guidance intranet, “Voices” training programme, use
of telemedicine
Training of health professionals and carers;
targeted and relevant, Quality of specialist teams;
accessible and responsive to patient needs improving
management of condition, reducing number of hospital
admissions, improving inpatient care and �ow,
Headache serviceImmediate dischargeExtended Team e�ort
Carolyn Annand, Project Lead, [email protected]
